J Korean Continence Soc.
2009 Dec;13(2):128-133.
The Effect of Suprapubic Magnetic Stimulation in Patients with Neurogenic Detrusor Overactivity
- Affiliations
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- 1Department of Urology, Inha University College of Medicine, Incheon, Korea. lt11@inha.ac.kr
Abstract
- PURPOSE
To evaluate the effect of suprapubic magnetic stimulation (SMS) with the use of an arm-type magnetic stimulator for the treatment of patients with neurogenic detrusor overactivity.
MATERIALS AND METHODS
Eleven patients with neurogenic detrusor overactivity were enrolled in this study. All patients underwent more than 16 SMS sessions, two times per week, with the use of an arm-type magnetic stimulator. Objective success was defined as a significant reduction (> or =50%) in the total number of leakage episodes per 24 hours, whereas subjective success was defined as the request to continue treatment.
RESULTS
Five (71.4%) of 7 patients who had urinary incontinence before treatment reported objective success, and 3 patients showed no incontinence. A total of 6 (75.0%) of 8 patients showed increased average voiding volume. One patient showed an adverse effect of back pain after SMS and dropped out. Seven patients (70.0%) of 10 patients wanted to continue this treatment. They showed significant improvements in frequency/volume chart data, quality of life scores, and urodynamic data.
CONCLUSIONS
SMS can be a safe, non-invasive and effective option for the treatment of neurogenic detrusor overactivity.